facebook tracking Traumatic stupor and coma <1 hour with major complications cost in Texas: 15 hospitals compared (DRG 085)

Traumatic stupor and coma <1 hour with major complications in Texas

What 15 hospitals in Texas charged and were paid for a Medicare hospital stay for traumatic stupor and coma <1 hour with major complications (DRG 085), from 2024 Medicare claims.

DRG 085 Inpatient 2024 Medicare data
Average charge $128,515 Hospital list price billed
Average payment $20,122 Medicare + patient + other payers
Medicare paid $17,222 Average per stay
State rank #8 of 27 1 = lowest average payment

Hospitals in Texas billed an average of $128,515 for traumatic stupor and coma <1 hour with major complications, about 6.4 times the average total payment of $20,122. That payment is 9% below the U.S. average of $22,150.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $20,122Billed $128,515

About 16¢ was paid for every $1 hospitals in Texas billed for this stay.

Texas hospitals: traumatic stupor and coma <1 hour with major complications

Every Texas hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Memorial Hermann Texas Medical CenterHouston 78 $106,352 $25,143 $20,717
Medical Center of PlanoPlano 39 $179,770 $15,827 $14,583
Texas Health Harris Methodist Fort WorthFort Worth 37 $85,477 $15,920 $14,340
Texas Health Presbyterian Hospital PlanoPlano 28 $79,410 $16,232 $15,008
Methodist Hospital,TheHouston 19 $107,148 $20,120 $16,420
Texas Health Presbyterian Hospital DallasDallas 18 $77,285 $17,342 $15,747
Methodist HospitalSan Antonio 16 $179,578 $16,856 $15,206
University of Texas Medical Branch GalGalveston 15 $72,466 $27,503 $20,986
University Health SystemSan Antonio 15 $86,974 $32,815 $26,907
Kingwood Medical CenterKingwood 14 $330,673 $16,571 $15,420
Medical Center of McKinneyMcKinney 13 $161,072 $16,545 $15,920
Medical Center of ArlingtonArlington 13 $230,257 $20,454 $18,746
Methodist Stone Oak HospitalSan Antonio 13 $109,670 $14,824 $13,694
Mem Hermann Southwest HospHouston 12 $85,130 $21,994 $12,952
Denton Regional Medical CenterDenton 12 $200,330 $18,439 $16,458
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Lowest and highest payments in Texas

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Highest

Traumatic stupor and coma <1 hour with major complications in other states

Questions

How much does traumatic stupor and coma <1 hour with major complications cost in Texas?

In 2024 Medicare data, a hospital stay for traumatic stupor and coma <1 hour with major complications (DRG 085) at 15 hospitals in Texas was billed at $128,515 on average, while the average total payment was $20,122, of which Medicare paid $17,222. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Texas, average charges were 6.4 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.